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Utilization Management Representative

Company: VirtualVocations
Location: Colorado Springs
Posted on: November 19, 2024

Job Description:

A company is looking for a Utilization Management Representative to assist in the administration of Utilization Management functions.



Key Responsibilities

Handle incoming requests for patient medical records, authorizations, and denials
Build clinical responses to external requests using patient medical record information
Perform data entry of patient intake information and maintain communication with payors


Required Qualifications

High school diploma/GED or equivalent working knowledge
3 years of experience in healthcare roles such as Nursing Assistant or Medical Assistant
Understanding of medical terminology
Flexibility in responding to multiple demands
Bilingual preferred in some assignments

Keywords: VirtualVocations, Highlands Ranch , Utilization Management Representative, Executive , Colorado Springs, Colorado

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